November/December 2000


Features

Cover Story
Six Sigma: Applying a Corporate Model to Radiology
  by Richard B. Elsberry
  Using Six Sigma process improvement methodology, the radiology department added capacity - not technology - in CT at MD Anderson Cancer Center.

The Next Big Thing
  by Peter Clark
  With one new technology on the market and another on the way, a new generation of multimodality imaging technology is fusing anatomical and functional images.
Warning: Teleradioactive?
  by George Wiley
  So far, licensing regulations and professional courtesy have kept radiology safe from going global to the lowest bidder for reads, but with the technology in hand, that could change.
The Big Picture
  by Johnson B. Lightfoote MD, MBA
  Macroeconomics provide a context within which to view radiology at the end of the century, and offer a window on the specialty's future.
Challenge for a New Century
  by Judith Gunn Bronson, MS
  Following a century of achievement in generating increasingly precise anatomical images, radiology's quest in the new millennium will be to more accurately portray biological function.
PACS on Call
  by Keith J. Dreyer, DO
  In their efforts to meet the needs of institutions without the capital for full-blown picture archiving and communications systems, vendors are offering the technology in a plurality of application service provider models.


Departments

  Viewpoint
The Convergence Factor
  by Cheryl Proval
  A troubling aspect of these better times in radiology points to the need for a heightened service ethic and a bit of unabashed professional self-promotion.
  Guest Editorial
A Quiet Revolution
  by Howard B. Kessler, MD
  An unpleasant chapter ends for some in medicine, as beleaguered providers, suffering narrow margins, just say no to the assumption of risk.
  Technology Economics Review
MRA Report
  by Frank J. Papatheofanis, MD, PhD
  Data collected from three managed health care plans give MRA an advantage over CT in the management of CNS and extracranial disease.
  Technology Economics Review
Ultrasound Report
  by Arthur C. Fleischer, MD
  Recent advances in diagnostic sonography and their potential clinical and economic impact.
  Technology Economics Review
3-D Imaging Report
  by Matthew A. Barish, MD
  As 3-D imaging technology becomes more affordable and increasingly user-friendly, the technology is destined to be incorporated into the routine workflow.
  Technology Economics Review
CT Report
  by Robert C. Gilkeson, MD
  Rapid speed and improved imaging flexibility have rendered multidetector technology the most important advance of the decade.
  Imaging Business
In Praise of ABC Accounting
  by Richard S. Helsper
  Understanding and implementing activity-based cost accounting can rescue a department from decision-making based on randomly applied benchmarks.

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